Organization
HEALING SPIRIT THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE LOUISE CULPEPPER LCSW (OWNER/PRACTITIONER)
(479) 200-8472
Entity
Organization
Contact information
Practice address
221 N EAST AVE, #201, FAYETTEVILLE, AR 72701-5226
(479) 200-8472
(479) 442-2881
Mailing address
221 N EAST AVE, #201, FAYETTEVILLE, AR 72701-5226
(479) 200-8472
(479) 442-2881
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1729-C
AR
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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